David Moulton writes for Tablet about his journey as a gay man in America, gradually coming to see that the trans movement was not the next step in gay liberation that he'd once assumed:

The embrace of the transgender cause by America’s gay organizations is often presented as a matter of natural allyship between the closely related members of the LGBTQ coalition. In my view this is a misunderstanding. The interests of legacy gay rights organizations have increasingly become divorced from their traditional constituents, gay men and lesbians. For example: By 2016, the Human Rights Campaign, America’s largest gay rights organization, was using the word “transgender” more than “gay” and “lesbian” combined in its annual reports.

A number of states now have laws banning the practice of “conversion therapy” and an even broader stigma exists against efforts to medically alter the sexuality of gay people. But the same is not true when it comes to gender, where the situation is roughly reversed. Gender has become the point at which the interests of a professional activist class intersect with those of the pharmaceutical and medical tech industry.

According to GLAAD, gender identity is “one’s own internal sense of self and their gender,” and is separate from biological sex. This emphasis on the immaterial over the physical can lead to the body becoming fungible material for medical experiments. Physically healthy people can be turned into lifelong medical patients for profit. In the business press, trans tech is touted as a budding industry. One savvy entrepreneur has estimated the transition market as “in excess of $200B.”

The executive branch of the U.S. government actively supports pediatric gender transition. Assistant Secretary for Health Rachel Levine is a vocal proponent of medical transition as the appropriate treatment for youth with dysphoria; furthermore, the administration supports the right of K-12 public schools to socially transition students with or without their parents’ consent. Social transition is the practice of treating a prepubescent child as if they were literally a member of the opposite sex. While it does not involve any direct medical intervention, social transition has been shown to make it less likely for the child to resolve their dysphoria on their own. This can in turn lock them into a lifelong path of medicalization involving the off-label use of cancer drugs to block puberty as well as cross sex hormones and surgeries.

It's an important point: "Gender has become the point at which the interests of a professional activist class intersect with those of the pharmaceutical and medical tech industry." And, happily for them, they have the gender ideology to go along with it – rejecting sex as a "social construct" à la Queer Theory, and going straight from the university to the pharmaceutical and medical boardrooms and the destruction of young lives, via the trans activists and their numerous "progressive" allies.

I could choose to stop being a leftist but can’t stop being gay. It’s still the most fundamental part of who I am. I have to face the sickening fact that much of this medical abuse is being carried out in my name. All the major gay rights organizations support an affirmative model for transitioning minors. They could have closed shop after achieving full equality, but no. “Gay rights” became institutionalized and morphed into a permanent LGBTQ+ industry. The public goodwill built up for gays and lesbians over the past generation is now being channeled into an entirely different cause….

We, as gay men, have gone from being outsiders to mascots of an ideology that’s pushing hideous medical experiments on children—the wedge, it almost seems, to a new medical dystopia. If I now feel the need to once again make my sexuality a political issue, to speak “as a gay man,” it’s for the sake of disavowing this turn of events.

It's a very American piece. Reading it, I couldn't help thinking how much more organised and outspoken the gender critical opposition is here in the UK.

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